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NPI 1124167986

NPI 1124167986 : BILGA ATTAR MD PA : BOCA RATON, FL

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General NPI Number Information
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    NPI Number           |    1124167986
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    Entity Type          |    Organization 
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    Legal Business Name  |    BILGA ATTAR MD PA 
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Dates
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    Enumeration Date     |    02/06/2007
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    Last Update Date     |    05/21/2008
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Provider Practice Location Address
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    Address Line         |    2800 S OCEAN BLVD APT 20A
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33432-8332
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    Country              |    US
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    Telephone            |    561-750-8809
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    Fax                  |    561-347-1648
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Provider Business Mailing Address
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    Address Line         |    2800 S OCEAN BLVD APT 20A
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    City                 |    BOCA RATON
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    State                |    FL
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    Zip                  |    33432-8332
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    Country              |    US
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    Telephone            |    561-750-8809
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    Fax                  |    561-347-1648
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BILGA F ATTAR 
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    Credential           |    MD
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    Telephone            |    561-750-8809
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    ME 00603031
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    License Number State |    FL
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